| Phaze Counseling Services Inc | |
|
8007 Corporate Dr Ste A Nottingham MD 21236-4905 | |
| (410) 874-9595 | |
| Not Available |
| Full Name | Phaze Counseling Services Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8007 Corporate Dr Ste A, Nottingham, Maryland |
| Authorized Official Name and Position | Shanntel Monique Gladney (CEO) |
| Authorized Official Contact | 4436228755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phaze Counseling Services Inc 8007 Corporate Dr Ste A Nottingham MD 21236-4905 Ph: () - | Phaze Counseling Services Inc 8007 Corporate Dr Ste A Nottingham MD 21236-4905 Ph: (410) 874-9595 |
| NPI Number | 1174397939 |
|---|---|
| Provider Enumeration Date | 11/13/2023 |
| Last Update Date | 11/13/2023 |
| Certification Date | 11/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174397939 | NPI | - | NPPES |
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